A patient who has been taking lamivudine (Epivir) for 6 months reports reduced sensation in the fingers and toes. What is the nurse's best action?
a. Document the report as the only action.
b. Hold the dose and notify the prescriber.
c. Remind the patient to continue the drug as usual and take a multiple vitamin dai-ly.
d. Reassure the patient that this is an expected drug side effect and to use injury precautions.
D
Peripheral neuropathy with loss of sensation in the extremities is a common and expected side effect of therapy. Drug therapy is not stopped for this effect. The patient needs to implement precautions to prevent injury from not having full sensation for touch, temperature, and pressure.
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What action is not appropriate for a 14-month-old child with iron deficiency anemia?
a. Decreasing the infant's daily milk intake to 24 oz or less b. Giving oral iron supplements between meals with orange juice c. Including apricots, dark-green leafy vegetables, and egg yolk in the infant's diet d. Allowing the infant to drink the iron supplement from a small medicine cup
Decision accretion occurs when a nurse decides to implement the findings from a rigorous research investigation
A) True B) False
The syndrome of inappropriate antidiuretic hormone (SIADH) is diagnosed by: a. low serum osmolarity and sodium and urinehyperosmolarity
b. high serum osmolarity and sodium and urinehyperosmolarity. c. high serum osmolarity and sodium and urinehypoosmolarity. d. low serum osmolarity and sodium and urine hypoosmolarity.
A school-age child is diagnosed with a life-threatening illness. The parents want to protect their child from knowing the seriousness of the illness. The nurse should explain that:
a. this will help the child cope effectively by denial. b. this attitude is helpful to give parents time to cope. c. terminally ill children know when they are seriously ill. d. terminally ill children usually choose not to discuss the seriousness of their illness.